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Effect of high-fat enteral nutrition on hepatocyte injury in response to hemorrhagic shock in the rat

Chu, Mary M; Luyer, Misha D P; Wheelhouse, Nicholas M; Bellamy, Christopher O; Greve, Jan Willem M; Buurman, Wim A; Sangster, Kathryn; Fearon, Kenneth C H; Ross, James A; Garden, O James; Dejong, Cornelis H C; Wigmore, Stephen J

Authors

Mary M Chu

Misha D P Luyer

Christopher O Bellamy

Jan Willem M Greve

Wim A Buurman

Kathryn Sangster

Kenneth C H Fearon

James A Ross

O James Garden

Cornelis H C Dejong

Stephen J Wigmore



Abstract

BACKGROUND: High-fat enteral nutrition reduces the inflammatory response following hemorrhagic shock in the rat. AIMS: We hypothesized that this intervention might also ameliorate the remote organ injury to the liver associated with this model. METHODS: Male Sprague-Dawley rats were either starved or fed low-fat or high-fat isocaloric isonitrogenous feed prior to nonlethal hemorrhagic shock induced by a 40% reduction in the blood volume. Animals were sacrificed at 90 minutes or 24 hours after injury. Liver cell damage was assessed by histology and long polymerase chain reaction (PCR) to detect mitochondrial DNA damage. Stress protein expression was measured by Western blot and mRNA expression by real-time PCR and immunohistochemistry. RESULTS: Animals fed a low-fat diet had the same severity of liver injury as starved animals and increased expression of stress proteins. Animals fed a high-fat diet had minimal liver injury, no evidence of mitochondrial DNA damage, and significantly lower expression of stress proteins. This effect is associated with preservation of hepatocellular morphology, attenuation of mitochondrial DNA damage, and a reduced stress protein response to injury. CONCLUSIONS: High-fat enteral nutrition protects the liver from the remote effects of hemorrhagic shock, but the mechanism of this effect is not yet known.

Citation

Chu, M. M., Luyer, M. D. P., Wheelhouse, N. M., Bellamy, C. O., Greve, J. W. M., Buurman, W. A., Sangster, K., Fearon, K. C. H., Ross, J. A., Garden, O. J., Dejong, C. H. C., & Wigmore, S. J. (2007). Effect of high-fat enteral nutrition on hepatocyte injury in response to hemorrhagic shock in the rat. World Journal of Surgery, 31(8), 1693-1701. https://doi.org/10.1007/s00268-007-9107-2

Journal Article Type Article
Online Publication Date Jun 14, 2007
Publication Date 2007-08
Deposit Date Jul 21, 2016
Journal World Journal of Surgery
Print ISSN 0364-2313
Electronic ISSN 1432-2323
Publisher BMC
Peer Reviewed Peer Reviewed
Volume 31
Issue 8
Pages 1693-1701
DOI https://doi.org/10.1007/s00268-007-9107-2
Keywords Rats, blotting, western, dietry fats, hemorrhagic,
Public URL http://researchrepository.napier.ac.uk/Output/304709
Related Public URLs http://download.springer.com/static/pdf/939/art%253A10.1007%252Fs00268-007-9107-2.pdf?originUrl=http%3A%2F%2Flink.springer.com%2Farticle%2F10.1007%2Fs00268-007-9107-2&token2=exp=1468510497~acl=%2Fstatic%2Fpdf%2F939%2Fart%25253A10.1007%25252Fs00268-007-9107-2.pdf%3ForiginUrl%3Dhttp%253A%252F%252Flink.springer.com%252Farticle%252F10.1007%252Fs00268-007-9107-2*~hmac=336c35a58250f34df938fabb386d95fef895af7b5a956ef289a476285cff396d